This topic is about a person experiencing severe pain and bleeding from their stoma after changing their ostomy appliance. The bleeding started as bright red and then turned dark, which was concerning for the individual. They sought advice and shared their experience with others to understand what might be happening and what steps to take next.

Here are some helpful insights and advice shared by others:

1. If you experience bright-red spurting blood and severe pain from your stoma, it is crucial to go to a hospital Emergency Room immediately. This is not a typical minor bleed and needs urgent attention.

2. Choose a full-service hospital over an urgent care facility. Hospitals can perform necessary imaging, like a CT scan, and conduct lab tests to find the source of the bleeding and check for any blockages or complications.

3. If the first ER visit does not provide answers, insist on further testing or consider going to a different hospital. It is important to have a thorough evaluation for active stoma bleeding, as inadequate assessment can be dangerous.

4. Contact your colorectal surgeon or gastroenterologist as soon as possible for follow-up care, even if the bleeding seems to have slowed down. Ongoing monitoring and input from specialists are essential for your health.

5. Keep your support community updated on your situation. Many people are concerned and willing to offer further support and advice.